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PRACTICE POINTERS: PREPARING YOUR CLIENT FOR A MEDICAL EXAMINATION OR A REFERRAL TO A MEDICAL EXAMINER
관리자  (Homepage)
2016-05-07 19:53:56, 조회 : 392, 추천 : 114

If a client has disclosed a record of substance use or related arrests or convictions to you, you should prepare your client to affirmatively disclose these facts to the panel physician, civil surgeon or immigration officer. Any applicant who gives incomplete or inconsistent answers to a medical examiner regarding substance use may be subjected to further investigation of their medical history. If evidence of substance use is ultimately discovered through documents or interviews that contradict the applicant’s attestations to the medical examiner, these inconsistencies may be documented in the medical examination report. According to such a report or other inconsistent statements made at the time of interview, a DOS or USCIS officer could declare an applicant inadmissible not only on health-related grounds, but also on the basis of fraud or willful misrepresentation.43



39 Id.; see also 9 FAM 40.11 N8.3 (revised pursuant to the 6/7/07 DOS cable).
40 DHS Memorandum, W. Yates, “Requesting Medical Re-examination: Aliens Involved in Significant
Alcohol-Related Driving Incidents and Similar Scenarios” (Jan. 16, 2004), published on AILA InfoNet at
Doc. No. 04022362 (posted Jan. 23, 2004), at 2-3.
41 Id. at 3.


Immigration practitioners may also affirmatively address substance use and drug- and alcohol-related arrests and convictions in a short brief to support their client’s admissibility. This may be submitted to DOS, attached to the requisite DS forms, or to USCIS, attached to Form I-485. A declaration from the applicant should be submitted with the legal brief, detailing which substances were used, frequency of use, date of last use, whether the applicant’s use ever involved harmful behavior, and whether the applicant was ever arrested or convicted for substance-related offenses. Letters of support from friends, family, religious leaders or others may also be submitted to support an applicant’s claims of being an infrequent user, in remission or having a history of no harmful behavior associated with use. The brief should also include copies of all applicable medical or criminal documentation for agency review, including:

•        Medical records regarding hospitalization or treatment for substance use, including participation in rehabilitation programs;

•        Documentation of any prescribed medication related to the above treatment;

•        Certified court disposition(s) of any criminal case(s) relating to
DUI/substance use; and/or

•        Police report(s) relating to arrest(s) for DUI/substance use.

Copies of these documents should also be prepared to provide to the medical examiner upon request. Failure to provide these documents may result in delays in adjudication or issuance of an RFE.

As a practical matter, DOS and USCIS referrals to panel physicians and civil surgeons for examination or re-examination of substance use will, at minimum, delay the adjudication of an applicant’s case. It may take as long as several months from the time of referral until the time of adjudication. This is especially true if the case is pending abroad, and it depends on the country, the appointment availability of panel physicians, and whether or not an applicant is referred to a psychiatrist or other specialist for further
evaluation. At the same time, in some countries, referral to adjudication may take as little as one to two weeks. Other country-specific complications may also arise. For example, in Mexico, the only panel physicians certified to review applicants for health-related inadmissibility in the entire country are located in Ciudad Juarez. NIV applicants from all over Mexico who are referred for medical examination due to a DUI arrest in the past three years have no choice but to travel to Ciudad Juarez, and then back again to the post where they applied to await final adjudication and visa issuance. Different countries or consular posts, depending on local culture and other factors, may also define “other evidence suggesting an alcohol problem” in very different ways and therefore will have varying referral processes. In the United States, obtaining a referral-based appointment with a civil surgeon may present fewer challenges, but USCIS adjudication time may vary greatly depending on the Field Office with jurisdiction over the case.


43 See INA § 212(a)(6)(C)(i). This is an especially important consideration because health-related inadmissibility based on substance use may be merely temporary (until an applicant has been in remission for several years), whereas fraud-based inadmissibility is permanent.





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세금과 법률
세금과 법률, 부동산경매, 토지수용, 이민(TAX & LAW, REAL ESTATE, IMMIGRATION)
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세금과 법률, 부동산경매, 토지수용, 이민
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